Mackenzie D Baker

Individual provider Active NPI Behavior Technician · Omaha, NE

NPI 1831919976 · NPPES record last updated Oct 14, 2024

Key facts

NPI
1831919976
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200
Phone
(402) 807-7447
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200

Mailing address

4010 R Ave Apt B15
Kearney, NE 68847-2308
Phone (308) 216-1484

Other providers in Omaha, NE

All providers in Omaha, NE · Behavior Technician in Nebraska

Sources for this page

Verify at the official NPI Registry.